Individual
MS. MARIA GORNOSTAEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
(907) 352-3363
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33006530A
IN
1041C0700X
Clinical Social Worker
Primary
118254
AK
1041C0700X
Clinical Social Worker
34007274A
IN
Other
Enumeration date
01/21/2013
Last updated
11/24/2025
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